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Nursing Service Providers Licensed Practical Nurse

Provider NPI: 1033600697

Organization Information:
Organization is not Subpart
Authorized Official:  KRISTY DOENICE CLAYTON  OWNER  314-971-6853

Practice Location:
1923 SPRUCE ST  SAINT PETERS, MO 63376-6629 US
Tel: 314-971-6853  Fax: --

Business Mailing Address:
1923 SPRUCE ST  SAINT PETERS, MO 63376-6629 US
Tel: 314-971-6853  Fax: --

NPI Information:
NPI: 1033600697
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N164W00000XNursing Service Providers
Licensed Practical Nurse
N372500000XNursing Service Related Providers
Chore Provider
N372600000XNursing Service Related Providers
Adult Companion
N376J00000XNursing Service Related Providers
Home Health

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 251E00000X





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